this post was submitted on 01 Dec 2024
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Why is it that compared to other mental illness's like depression, ADHD, autism and anxiety people seem to be so hostile to NPD? I always see things about 'mental health awareness' yet this is never applied to personality disorders.

Just look up "narcissism", "NPD" or "narcissistic personality disorder" and the results are about how dangerous people with NPD are and how to spot somebody with NPD or if your ex boyfriend is a narcissist etc... etc...

I was watching this video earlier by a YouTube user 'ShortFatOtaku' called "Low IQ Twitter Discourse Awards!" and there was this one guy on twitter who said that if you claim advocate for the mentally ill you such do so with personality disorders as well. A statement I completely agree with:

https://youtu.be/3EJedJ8MhNA YouTube

ShortFatOtaku response with "wow your going to let that narcissist kill you and take everything from you?" I shouldn't have to explain how bad faith and unhinged that is.

Why do people think this way about narcissists? Having NPD doesn't make someone an inherently bad person. As someone who has NPD I haven't abused or manipulated anyone ever. Sure, I struggle with empathy, I have to make an effort to think about other people and ok I have a never ending need for validation but that doesn't mean I'm a bad person I understand I have a problem I didn't choose to be like this. Manipulation and grandiosity are awful traits that I have but they don't define me. I'm a good friend, I'm a good sister, I'm a good coworker and there are people out there who benefit from my existence. NPD doesn't have to define me I'm more then my diagnosis.

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[–] [email protected] -3 points 2 weeks ago (1 children)

The caregiver or partner then continues to present the person as being sick or injured, convincing others of the condition/s and their own suffering as the caregiver.

The causes of FDIA are generally unknown, yet it is believed among physicians and mental health professionals that the disorder is associated with the ‘caregiver’ having experienced traumatic events during childhood

The primary motive is believed to be to gain significant attention and sympathy, often with an underlying need to lie and a desire to manipulate others

Drag isn't especially familiar with MBP, but this is what Wikipedia says in the introduction. That the caregiver is convinced that they're suffering and that they need attention and sympathy. Those are the actions of someone who's in pain, and a link to trauma makes it all make sense.

But yes, the fact that medicine is for helping patients is controversial in the psychiatric community. There's considerable debate on the subject. But the guy who wrote the DSM IV criteria for NPD has stated in multiple interviews that Trump doesn't have NPD, because he isn't suffering.

American psychiatrists have to follow the Goldwater Rule, which says not to speculate on the disorders of public figures. Why? Because that's not what diagnosis is for. Diagnosis is the first step in a plan to treat a patient and help them. Diagnosis should never be about insulting, labelling, or stigmatising a patient in the eyes of others. That's a violation of the Hippocratic Oath.

[–] [email protected] 3 points 2 weeks ago

You are not thinking of the hippocratic oath (there is no mention whatsoever of gossip about patients). The do no harm clause specifies bodily harm/abuse in a physical context. You have supplied a TV or Movie memory concerning diagnosis, or maybe you think HIPAA is somehow related to the oath. Many modern doctors don't take the traditional hippocratic oath. If you'd ever read the text, you would know why.

You've clearly rattled all this off without taking a single second to look at context. The goldwater rule isn't an actual law, and it does not in fact have an explicit analogue in the current APA ethics guidelines (though you can argue the same instruction is conveyed throughout a couple of the standards). You have made up rules that doctors live by in your brain. American psychologists do not "have to follow the goldwater rule". Every time I see you post it's some "I googled it!" regurgitation with absolutely no understanding of the topic, or insane ramblings about how we should be nice to AI. Your five minutes of searching is not going to help you think critically about anything. This is facebook user behavior.